SUZANNE ROWLAND FRASER PSYD
NPI 1053600130
Psychologist - Forensic in Queensbury, NY

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment
123 DIXON RD, QUEENSBURY, NY 12804(518) 354-0298 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2026, Dec 20, 2024, Aug 18, 2022 and 2 more (5 updates tracked since 2018).

About Suzanne Rowland Fraser Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUZANNE ROWLAND FRASER PSYD (NPI 1053600130) is an individual forensic provider in Queensbury, New York, licensed in New York (015429) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1053600130
Entity TypeIndividualFemale
Primary Taxonomy103TF0200X
Provider Legal NameSUZANNE ROWLAND FRASERCredential: PSYD
Location Address123 DIXON RDQueensbury, NY 12804-2133
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 29, 2011
Last NPPES UpdateMarch 13, 20265 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
NPI 1053600130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
License Licensed in NY · 015429
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Also ListedPsychologistTaxonomy 103T00000X · License 015429 (NY)
123 DIXON RD, Queensbury, NY 12804

Secondary Practice Locations 2

Location 19 Byram RdTupper Lake, NY 12986-9725 · Phone (518) 354-0298
Location 2101 Adirondack Dr Ste 2Ticonderoga, NY 12883-9334 · Phone (518) 585-6708 · Fax (518) 585-3260

Other Identifiers 1

Medicaid04690704NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Suzanne Rowland Fraser Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860679784
PECOS Enrollment IDI20110602000023
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (School)
123 DIXON RD
QUEENSBURY, NY 12804
Counselor (School)
123 DIXON RD
QUEENSBURY, NY 12804
Social Worker (Clinical)
123 DIXON RD
QUEENSBURY, NY 12804
Psychologist (Clinical)
123 DIXON RD
QUEENSBURY, NY 12804
Psychologist (Clinical)
123 DIXON RD
QUEENSBURY, NY 12804
Counselor (Mental Health)
123 DIXON RD
QUEENSBURY, NY 12804
Psychologist (Clinical)
123 DIXON RD
QUEENSBURY, NY 12804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzanne Fraser's NPI number?

The NPI number for Suzanne Fraser is 1053600130. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Suzanne Fraser located?

Suzanne Fraser practices at 123 Dixon Rd, Queensbury, NY 12804. The listed phone number is (518) 354-0298.

What is Suzanne Fraser's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

Is Suzanne Fraser enrolled in Medicare?

Yes. Suzanne Fraser is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Suzanne Fraser accept?

Health plans from Providence Health Plan list Suzanne Fraser as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suzanne Fraser was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.